Amy Burse, | |
322 Atlantic Ave, Oak Grove, KY 42262-9104 | |
(270) 348-6288 | |
Not Available |
Full Name | Amy Burse |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 322 Atlantic Ave, Oak Grove, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083163737 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 3010696 (Kentucky) | Primary |
Entity Name | Brock Medical, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023379815 PECOS PAC ID: 9830354638 Enrollment ID: O20120628000567 |
Mailing Address | Practice Location Address |
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Amy Burse, 322 Atlantic Ave, Oak Grove, KY 42262-9104 Ph: () - | Amy Burse, 322 Atlantic Ave, Oak Grove, KY 42262-9104 Ph: (270) 348-6288 |
Ms. Jennifer Jean Johnson, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1654 Hugh Hunter Rd #20, Oak Grove, KY 42262 Phone: 601-927-4791 | |
Dr. Kimberly Cecil-riddle, DNP, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2801 Walter Garrett Lane, Oak Grove, KY 42262 Phone: 270-640-5821 Fax: 844-270-5587 | |
Mr. Eddie A Manley, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 175 Stateline Rd, Oak Grove, KY 42262 Phone: 931-302-9564 Fax: 844-750-0655 |